Organization Active NPI

Bridgetown Health Care LLC

Doing business as Bridgetown Nursing & Rehabilitation Centre

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1336701242
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRIDGETOWN HEALTH CARE LLC
Doing business as
Bridgetown Nursing & Rehabilitation Centre
Practice address
4307 Bridgetown Rd
Cincinnati, OH 45211-4427
Phone
(513) 598-8000
Fax
(513) 574-7424
NPI assigned
Jul 1, 2019
Last updated
Jul 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Geoffrey Everett Webster, ESQ.
Title
Counsel
Phone
(614) 461-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4307 Bridgetown Rd
Cincinnati, OH 45211-4427

Mailing address

17 S High St Ste 770
Columbus, OH 43215-3450
Phone (614) 461-1156

Other names 1

  • Bridgetown Nursing & Rehabilitation Centre Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 513-574-7424 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913001013 OH Part A Provider - Skilled Nursing Facility 1951630151 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336701242. Details of each certification follow.

Skilled nursing facility certification: CCN 365462

Legal name
BRIDGETOWN HEALTH CARE LLC
Doing business as
BRIDGETOWN NURSING & REHABILITATION CENTRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 14, 1980
Last certification
May 19, 2022
Beds
55
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 11, 2019 in OH
Enrollment address
4307 Bridgetown Rd
Cincinnati, OH 45211-4427
Nursing home name
BRIDGETOWN NURSING AND REHABILITATION CENTRE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bridgetown Nursing and Rehabilitation CentreCCN 365462 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 14, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5543.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2021248Bridgetown Health Care LLC4307 Bridgetown Road, Cincinnati, OH 45211Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emmanuel V Rivera Individual Adp of the SNF Oct 1, 2023
Deborah Labazzo Individual Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Individual Direct Ownership Interest Jul 1, 2019 2%
Ronald Bommer Individual 5% Or Greater Direct Ownership Interest Jun 11, 2019 49%
Adp of the SNF Jul 1, 2019
Cameron Bommer Individual 5% Or Greater Direct Ownership InterestManaging Member Jul 1, 2019 49%
Corporate DirectorManaging Director Jul 1, 2019 49%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1336701242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S HIGH ST STE 770",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153450",
            "telephone_number": "614-461-1156",
            "fax_number": "614-461-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114427",
            "telephone_number": "513-598-8000",
            "fax_number": "513-574-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETOWN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "COUNSEL",
        "authorized_official_telephone_number": "614-461-1156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "513-574-7424",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "print",
            "address_1": "4307 Bridgetown Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452114427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bridgetown Nursing & Rehabilitation Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.